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#7115 of 11K

K0604

HCPCS Procedure Code

HCPCS code K0604 is the #7,115 most-billed Medicaid procedure code, with $28K in payments across 3K claims from 2018–2024. The national median cost per claim is $9.27.

Total Paid

$28K

0.00% of all spending

Total Claims

3K

Providers

3

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for K0604? Based on 2 providers billing this code nationally.

Median

$9.27

Average

$9.27

Std Dev

$0.86

Max

$9.88

Percentile Distribution (Cost per Claim)

p10
$8.79
p25
$8.97
Median
$9.27
p75
$9.58
p90
$9.76
p95
$9.82
p99
$9.87

50% of providers bill between $8.97 and $9.58 per claim for this code.

90% bill between $8.79 and $9.76.

Top 1% bill above $9.87.

About This Procedure

HCPCS code K0604 was billed by 3 providers across 3K claims, totaling $28K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.27

Providers Billing

2

National Spending

$28K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.